Left hand extensor tenosynovitis due to <i>Histoplasma capsulatum</i> complicated by immune reconstitution inflammatory syndrome
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Published:2021-09-23
Issue:8
Volume:6
Page:355-361
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ISSN:2206-3552
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Container-title:Journal of Bone and Joint Infection
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language:en
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Short-container-title:J. Bone Joint Infect.
Author:
Riaz TalhaORCID, Collins Mark, Enzler Mark, Rizzo Marco, Schuetz Audrey N., Lehman Julia S., Osmon Douglas, Sia Irene G.
Abstract
Abstract. We describe a case of left hand extensor tenosynovitis due to histoplasmosis
in a patient with dermatomyositis on chronic immunosuppression. Treatment
involved surgical debridement and antifungal therapy. The patient
experienced paradoxical worsening of tenosynovial inflammation during de-augmentation of immunosuppression felt to be immune reconstitution
inflammatory syndrome.
Publisher
Copernicus GmbH
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